{"id":1164,"date":"2022-02-03T15:18:00","date_gmt":"2022-02-03T20:18:00","guid":{"rendered":"https:\/\/paragoninstitute.org\/index.php\/2022\/02\/03\/mismanaging-medicaid-one-improper-payment-at-a-time\/"},"modified":"2024-04-19T15:36:06","modified_gmt":"2024-04-19T19:36:06","slug":"mismanaging-medicaid-one-improper-payment-at-a-time","status":"publish","type":"post","link":"https:\/\/paragoninstitute.org\/medicaid\/mismanaging-medicaid-one-improper-payment-at-a-time\/","title":{"rendered":"Mismanaging Medicaid, One Improper Payment at a Time"},"content":{"rendered":"\r\n<p class=\"has-medium-font-size\">One in 7 Californians with income above eligibility levels reported enrollment in Medicaid in 2017.<\/p>\r\n\r\n\r\n\r\n<p>This letter to the editor <a href=\"https:\/\/www.wsj.com\/articles\/medicaid-health-care-benefits-eligibility-improper-waste-obamacare-expansion-11643845321\">appeared<\/a> in The Wall Street Journal.<\/p>\r\n\r\n\r\n\r\n<p>The government is massively mismanaging Medicaid (\u201c<a href=\"https:\/\/www.wsj.com\/articles\/build-back-better-fix-medicaid-first-foundation-for-government-accountability-report-improper-payment-11642698398?mod=article_inline\" target=\"_blank\" rel=\"noreferrer noopener\">Build Back Better? Fix Medicaid First<\/a>,\u201d Review &amp; Outlook, Jan. 24). Annual improper federal payments, driven by inappropriate or nonexistent eligibility determinations and keeping ineligible people on the program, are estimated at $100 billion. A\u00a0<a href=\"https:\/\/www.mercatus.org\/system\/files\/blase-medicaid-expansion-mercatus-summary-v1_0.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">study<\/a>\u00a0I did with University of Kentucky economist Aaron Yelowitz found that 1 in 7 Californians with income above eligibility levels reported enrollment in Medicaid in 2017.<\/p>\r\n\r\n\r\n\r\n<p>ObamaCare\u2019s Medicaid expansion deserves much of the blame, since Washington pays nearly the entire cost of spending on expansion enrollees. A recent federal audit examined 2,301 files of people enrolled under ObamaCare\u2019s expansion, and eligibility review errors occurred in 29% of them. About half were caseworker mistakes, about a quarter were \u201csystem failures,\u201d and the rest couldn\u2019t be determined.<\/p>\r\n\r\n\r\n\r\n<p>Iowa, South Dakota and Washington have Medicaid improper payment rates below 5%. Determining proper eligibility is not impossible. To encourage states to put proper eligibility systems in place, the federal government must appropriately estimate and recover misspent funds.<\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>One in 7 Californians with income above eligibility levels reported enrollment in Medicaid in 2017. This letter to the editor appeared in The Wall Street Journal. The government is massively&#8230;<\/p>\n","protected":false},"author":5,"featured_media":5190,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"footnotes":""},"categories":[757],"tags":[368,487],"external-media-outlet":[788],"featured":[],"location":[794,850,851,852],"publication-type":[717],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - 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content=\"https:\/\/paragoninstitute.org\/medicaid\/mismanaging-medicaid-one-improper-payment-at-a-time\/\" \/>\n<meta property=\"og:site_name\" content=\"Paragon Health Institute\" \/>\n<meta property=\"article:published_time\" content=\"2022-02-03T20:18:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-04-19T19:36:06+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/paragoninstitute.org\/wp-content\/uploads\/2022\/02\/jp-valery-mQTTDA_kY_8-unsplash-scaled-1_10.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Brian Blase\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"Mismanaging Medicaid, One Improper Payment at a Time\" \/>\n<meta name=\"twitter:description\" content=\"One in 7 Californians with income above 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